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PF-06650833

Phase 2

Acne Inversa | Small molecule | Dermatology |Pfizer, Inc.|Last Updated: Oct 2, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment194

FDA Designations

No designations recorded

Clinical trial landscape

PF-06650833 · 9 trials · 3 indications

Phase 2 3Phase 1 6
NCT04413617TO ASSESS THE EFFICACY AND SAFETY OF PF-06650833, PF-06651600, AND TOFACITINIB ALONE AND IN COMBINATION IN PARTICIPANTS WITH ACTIVE RHEUMATOID ARTHRITIS WITH AN INADEQUATE RESPONSE TO METHOTREXATERheumatoid Arthritis
COMPLETED460 Analytics
NCT04092452A Study to Evaluate the Safety and Efficacy of PF-06650833, PF-06700841, and PF 06826647 in Adults With Hidradenitis SuppurativaAcne Inversa
COMPLETED194 Analytics
NCT02996500Safety and Efficacy of Pf-06650833 In Subjects With Rheumatoid Arthritis, With An Inadequate Response To MethotrexateRheumatoid Arthritis
COMPLETED269 Analytics
PHASE2COMPLETED
TO ASSESS THE EFFICACY AND SAFETY OF PF-06650833, PF-06651600, AND TOFACITINIB ALONE AND IN COMBINATION IN PARTICIPANTS WITH ACTIVE RHEUMATOID ARTHRITIS WITH AN INADEQUATE RESPONSE TO METHOTREXATE
Rheumatoid ArthritisUnlock trial analytics
PHASE2COMPLETED
A Study to Evaluate the Safety and Efficacy of PF-06650833, PF-06700841, and PF 06826647 in Adults With Hidradenitis Suppurativa
Acne InversaUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy of Pf-06650833 In Subjects With Rheumatoid Arthritis, With An Inadequate Response To Methotrexate
Rheumatoid ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline (BL) in Disease Activity Score (DAS)28-C Reactive Protein (CRP) at Week 12
BL (defined as the last non-missing measurement collected prior to the first administration of study drug on Day 1), Week 12

DAS28 is a measure based on assessment of 28 joints for tenderness and swelling (tender and swollen joint counts). Disease Activity Score 28-C reactive protein (DAS28-CRP) is derived using differential weighting given to 4 components: tender joint count (range: 0-28), swollen joint count (range: 0-28), patient global assessment (recorded on a visual analog scale \[VAS\] scale of 0-100 mm), and CRP (milligram per liter). DAS28-CRP score ranges from 0 to 9.4. The lower the DAS28-CRP score is, the better the participant has response (remission = score\<2.6, low disease activity = score≤3.2). A negative value in change from BL indicates an improvement. Mixed Model Repeated Measures was used for statistical analysis, which used the change from BL of DAS28-CRP as an outcome and treatment, scheduled study visit, BL value of DAS28-CRP, treatment by visit interaction and BL by visit interaction as fixed effects. The model used the unstructured covariance matrix.

Percentage of Participants Achieving Hidradenitis Suppurativa Clinical Response (HiSCR) at Week 16- Minimum Risk (MR) [Full Analysis Set (FAS), Non-responder Imputation (NRI)].
At week 16

HiSCR response was defined as at least a 50% reduction in total abscess and inflammatory nodule (AN) count relative to baseline, and no increase in abscess count, and no increase in draining fistula count. Confidence interval (CI) was calculated using Blyth-Still-Casella method.

Change From Baseline in the Simplified Disease Activity Index (SDAI) at Week 12
Baseline and Week 12

The SDAI is a continuous composite measure derived from components of the American College of Rheumatology (ACR) Core Dataset.The SDAI was calculated using the following formula: SDAI = Tender / Painful Joint Count(TJC) (using 28 joints) + Swollen Joint Count (SJC) (using 28 joints) + Patient Global Assessment of Arthritis (PtGA) (0-10 cm scale) + Physician's Global Assessment of Arthritis (PhGA) (0-10 cm scale) + high sensitivity C-reactive protein (hsCRP) (mg/dL). SDAI total score= 0-86. SDAI \<=3.3 indicates disease remission, \>3.4 to 11 = low disease activity, \>11 to 26 = moderate disease activity, and \>26 = high disease activity. The primary analysis utilized a Bayesian ANCOVA model with an informative placebo prior distribution with borrowing from tofacitinib historical placebo data. The confidence interval was credible interval in this statistical analysis. The efficacy endpoint for the tofatinicib arm was an exploratory endpoint and neither primary nor secondary endpoints.

Area Under the Plasma Concentration-Time Profile From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) for Ethinyl Estradiol
Predose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 36 and 48 hours post OC dose in Periods 1 and 2

AUClast was defined as area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration. AUClast for EE was determined using linear/Log trapezoidal method.

Area Under the Plasma Concentration-Time Profile From Time 0 to the Time of the Last Quantifiable Concentration for Levonorgestrel
Predose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 36 and 48 hours post OC dose in Periods 1 and 2

AUClast was defined as area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration. AUClast for LN was determined using linear/Log trapezoidal method.

Maximum Plasma Concentration (Cmax) for Ethinyl Estradiol
Predose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 36 and 48 hours post OC dose in Periods 1 and 2

Cmax was defined as maximum plasma concentration. Cmax for EE was observed directly from data.

Maximum Plasma Concentration for Levonorgestrel
Predose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 36 and 48 hours post OC dose in Periods 1 and 2

Cmas was defined as maximum plasma concentration. Cmax for LN was observed directly from data.

Cmax
0-96 hours
AUClast
0-96 hours
Number of participants experiencing an AE/SAE
Day 18
Plasma pharmacokinetic parameters of PF-06650833
Baseline to up to Day 14 (0 to +1) postdose

Maximum plasma concentration (Cmax) of PF-06650833

Plasma pharmacokinetic parameters of PF-06650833 (if data permit)
Baseline to up to Day 14 (0 to +1) postdose

Dose-normalized area under the plasma concentration versus time curve from time zero extrapolated to infinite time (AUCinf(dn)) of PF-06650833 (if data permit)

Incidence and severity of treatment emergent adverse events.
50 days
Incidence and Magnitude of Participants with Treatment-emergent hematology clinical abnormalities
50 days
Incidence and Magnitude of Participants with Treatment-emergent chemistry abnormalities (including, cardiac enzymes CK, CK-MB and cardiac Troponin-1, serum myoglobin)
50 days
Incidence and Magnitude of Participants with Treatment-emergent urinalysis abnormalities
50 Days
Changes from baseline in blood pressure
50 days
Changes from baseline in pulse rate
50 days
Changes from baseline in respiratory rate
50 days
Changes from baseline in ECG parameters (standard 12-lead ECG)
50 days
Changes from baseline in Epstein-Barr virus [EBV]
50 days
Changes from baseline in Cytomegalovirus [CMV]
50 days
Changes from baseline in Herpes simplex virus-1 and -2 [HSV-1 and HSV-2]
50 days
Incidence and severity of treatment emergent adverse events and withdrawals due to treatment emergent adverse events
Baseline-5 days
Changes from baseline in vital signs ( blood pressure, pulse rate, respiratory rate and orthostatic blood pressure)
Baseline-5 days
Changes from baseline in ECG parameters (standard 12 lead ECG and telemetry)
Baseline-5 days

Quantitative changes in ECG intervals

Incidence and magnitude of treatment emergent clinical laboratory abnormalities including hematology, chemistry (including, cardiac enzymes CK, CK MB and cardiac Troponin I), serum myoglobin, urinalysis
Baseline-5 days

Secondary Endpoints

DAS28-CRP Remission (<2.6) Rates at Week 24
Week 24
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs), and Withdrawals Due to TEAEs
From first dose of study intervention (Day 1) to Week 28
Number of Participants With Clinical Laboratory Abnormalities (Hematology and Chemistry, Without Regard to Baseline Abnormality)
From BL to Week 28
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PF-06650833 + tofacitinibEXPERIMENTAL -
PF-06650833 + PF-06651600EXPERIMENTAL -
PF-06650833EXPERIMENTAL -
PF-06651600EXPERIMENTAL -
TofacitinibEXPERIMENTAL -
Cohort 1EXPERIMENTALPF-06650833
Cohort 2EXPERIMENTALPF-6700841
Cohort 3EXPERIMENTALPF-06826647
Cohort placeboPLACEBO_COMPARATORplacebo
Arm 1: 20 mg QDEXPERIMENTALPF-06650833 , 20 mg QD
Arm 2: 60 mg QDEXPERIMENTALPF-06650833, 60 mg QD
Arm 3: 200 mg QDEXPERIMENTALPf-06650833, 200 mg QD
Arm 4: 400 mg QDEXPERIMENTALPF-06650833, 400 mg QD
PlaceboPLACEBO_COMPARATORPlacebo, 0 mg BID
Arm 5: TofacitinibACTIVE_COMPARATORTofacitinib 5 mg BID
OC onlyEXPERIMENTALSubjects will receive a single dose of an oral contraceptive during the first period of the study
PF-06650833 + OCEXPERIMENTALSubjects will receive PF-06650833 every day for 11 days and a single dose of an oral contraceptive on day 10.
Relative Bioavailability CohortOTHERRelative Bioavailability cohort
300 mgEXPERIMENTAL -
<=400mg Modified Release Tablets, FastedEXPERIMENTALUp to 400 mg PF-06650833 modified release tablets administered under fasted conditions
100mg Modified Release Tablets, FastedEXPERIMENTAL100 mg PF-06650833 modified release tablets administered under fasted conditions
20mg Modified Release Tablets, FastedEXPERIMENTAL20 mg PF-06650833 modified release tablets administered under fasted conditions
<= 400mg Modified Release Tablets, FedEXPERIMENTALUp to 400 mg PF-06650833 modified release tablets administered with high fat meal food intake
100mg Modifed Release Tablets, FedEXPERIMENTAL100 mg PF-06650833 modified release tablets administered with high fat meal food intake
20mg Modified Release Tablets, FedEXPERIMENTAL20 mg PF-06650833 modified release tablets administered with high fat meal food intake
(1-1000mg) Immediate Release formulationEXPERIMENTAL -
Immediate Release Placebo armPLACEBO_COMPARATOR -
(10-500) mg Modified Release formulationEXPERIMENTAL -
Modified Release Placebo armPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
PF-06650833DRUG400 mg
PF-06651600DRUG100 mg
TofacitinibDRUG11 mg
PF-06700841DRUG45 mg QD
PF-06826647DRUG400 mg QD
PlaceboDRUGplacebo
Ethinyl estradiol (EE) and levonogestrel (LN)DRUGSingle dose of Oral tablet containing 30 ug EE and 150 ug of LN
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites144

Inclusion Criteria: * Male or female participants between the ages of 18 and 70 years. * Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures. * Diagnosis of RA and meeting the 2010 American...

Countries:BulgariaCanadaChileCzechiaGeorgiaHungaryPolandSlovakiaSpainUkraineUnited StatesAustraliaBosnia and HerzegovinaCroatiaGermanyMexicoRomaniaRussiaSerbiaSouth KoreaTaiwanBelgiumJapan
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Frequently asked questions about PF-06650833

What is PF-06650833 used for?

PF-06650833 is an investigational small molecule being studied for rheumatoid arthritis, acne inversa (hidradenitis suppurativa), and in healthy volunteers. It is being developed by Pfizer, Inc. (PFE) and is currently in Phase 2 clinical development, though all listed trials have been completed.

What does PF-06650833 target?

PF-06650833 is a small molecule developed by Pfizer. Its specific molecular target has not been disclosed in available clinical trial information. The drug is being evaluated for autoimmune and inflammatory conditions including rheumatoid arthritis and acne inversa.

Who makes PF-06650833?

PF-06650833 is being developed by Pfizer, Inc., which trades under the ticker symbol PFE on the New York Stock Exchange. Pfizer is conducting clinical trials of this investigational small molecule across multiple indications.

What phase is PF-06650833 in?

PF-06650833 is in Phase 2 clinical development. It has completed Phase 1 trials in healthy subjects and a Phase 2 trial in adults with hidradenitis suppurativa. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is PF-06650833 in?

PF-06650833 has been studied in six completed trials. Key trials include NCT02224651 and NCT02485769 in healthy subjects, NCT03308110 for bioavailability and food effect, and NCT04092452, a Phase 2 study in adults with hidradenitis suppurativa.

Is PF-06650833 the same as PF-06700841 or PF-06826647?

No, PF-06650833 is a distinct investigational drug. In clinical trial NCT04092452, it was studied alongside PF-06700841 and PF-06826647, which are separate Pfizer compounds being evaluated for hidradenitis suppurativa.